scholarly journals P.092 Successful implementation of a supported conversation program on an acute stroke unit

2021 ◽  
Vol 48 (s3) ◽  
pp. S45-S46
Author(s):  
K Whelan ◽  
M Haarstad ◽  
B Feldbruegge ◽  
A Jacobi ◽  
C Mayo ◽  
...  
Keyword(s):  
Acute Stroke ◽  
Stroke Unit ◽  
Best Practice ◽  
Successful Implementation ◽  
Staff Members ◽  
Interdisciplinary Practice ◽  
Communication Program ◽  
Speech And Language Pathologists ◽  
Acute Stroke Unit ◽  
Communication Interventions

Background: Aphasia is a life alerting deficit that affects up to 40% of people living with stroke. Barriers to communication ultimately impacts the care aphasic patients receive, as well as functional recovery. The Canadian Stroke Best Practice Recommendations suggest early and frequent language interventions to improve patients with aphasia quality of life, mood, and social outcomes. Methods: A supported conversation (SC) program (colloquially named The Aphasia Club) was implemented on the Acute Stroke Unit (ASU). The program included aphasia awareness and assessment training, as well as creation of an aphasia tool kit and discipline specific aphasia-friendly resources. Staff were encouraged to complete a 1-hour independent course on SC through the Aphasia Institute. Speech and language pathologists (SLP) offered an additional 30-minute in-person teaching session with interdisciplinary practice professionals. Following SLP assessment, personalized communication profiles were created for patients with aphasia to help staff understand the most useful strategies for communication. Results: More then 50 interprofessional staff members took SC training. Staff reported increased levels of knowledge and confidence when communicating with aphasic patients. Conclusions: A supported communication program was successfully implemented on an ASU. Planning appropriate communication interventions can assist interdisciplinary professionals in their ability to support patients through their stroke journey.

Management of Fever, Hyperglycemia, and Dysphagia in an Acute Stroke Unit

2016 ◽  
Vol 41 (6) ◽  
pp. 313-319
Author(s):  
Teresa Kenny ◽  
Christopher Barr ◽  
Kate Laver
Keyword(s):  
Acute Stroke ◽  
Stroke Unit ◽  
Acute Stroke Unit

Assessment of Regional Acute Stroke Unit Care in Italy: The PROSIT Study

2003 ◽  
Vol 15 (1) ◽  
pp. 16-18 ◽  
Author(s):  
Roberto Sterzi ◽  
Giuseppe Micieli ◽  
Livia Candelise
Keyword(s):  
Acute Stroke ◽  
Stroke Unit ◽  
Acute Stroke Unit ◽  
Stroke Unit Care

scholarly journals Effect of Acute Stroke Unit Care Integrated With Care Continuum Versus Conventional Treatment: A Randomized 1-Year Study of Elderly Patients

Stroke ◽  
2000 ◽  
Vol 31 (11) ◽  
pp. 2578-2584 ◽  
Author(s):  
Björn Fagerberg ◽  
Lisbeth Claesson ◽  
Gunilla Gosman-Hedström ◽  
Christian Blomstrand
Keyword(s):  
Elderly Patients ◽  
Acute Stroke ◽  
Stroke Unit ◽  
Conventional Treatment ◽  
Care Continuum ◽  
Acute Stroke Unit ◽  
Stroke Unit Care

Resource utilization and costs for treatment of stroke patients in an acute stroke unit in Greece

2016 ◽  
Vol 142 ◽  
pp. 8-14 ◽  
Author(s):  
Persefoni Kritikou ◽  
Konstantinos Spengos ◽  
Nikolaos Zakopoulos ◽  
Yannis Tountas ◽  
John Yfantopoulos ◽  
...  
Keyword(s):  
Acute Stroke ◽  
Resource Utilization ◽  
Stroke Unit ◽  
Stroke Patients ◽  
Acute Stroke Unit

Abstract T P113: Orpington Prognostic Scale: A Predictive Tool for Discharge Outcome in a Hyper Acute Stroke Unit

Stroke ◽  
2014 ◽  
Vol 45 (suppl_1) ◽  
Author(s):  
Sushmita Mohapatra ◽  
Amy M Jones
Keyword(s):  
Acute Stroke ◽  
Predictive Value ◽  
Stroke Unit ◽  
Predictive Ability ◽  
Inpatient Setting ◽  
Discharge Destination ◽  
Predictive Tool ◽  
Co Morbidity ◽  
Acute Stroke Unit ◽  
Rehabilitation Needs

Introduction: An accurate assessment of the severity of impairment and prediction of prognosis following stroke is important for determining rehabilitation needs of stroke patients. The study investigated the predictive ability of the Orpington Prognostic Scale (OPS) administered within 72 hours of stroke onset, in determining discharge destination post admission to a Hyper Acute Stroke Unit (HASU) in the United Kingdom. Method: Prospective analysis of OPS data were collected from 247 patients with confirmed diagnosis of stroke admitted to HASU. OPS scores were recorded between 0 to 72hours of admission and compared to discharge destination at 72 hours. Predictive ability of the tool and association with other variables were analysed using logistic regression and multivariate analysis. Results: Low OPS score (<3.2) had high positive predictive value (PPV 88.63%)for discharge home and high OPS score (>3.2) had high predictive value (PPV 98.39) for patients requiring further inpatient rehabilitation. OPS had high specificity and sensitivity for the above, independent of age, gender, type and site of stroke, stroke severity, previous social support and co-morbidity. Conclusions: OPS could be a valuable tool in predicting the discharge destination from a HASU and thereby facilitate the identification of early rehabilitation needs, 72 hours post stroke by predicting the need for further management. OPS < 3.2 were highly likely to go home with or without support/therapy. Whereas OPS > 3.2 were highly likely to require further medical/therapy input in an inpatient setting.

scholarly journals Intracerebral haemorrhage on the acute stroke unit

2019 ◽  
Vol 267 (1) ◽  
pp. 295-297
Author(s):  
M. D. Edwards ◽  
T. A. T. Hughes
Keyword(s):  
Acute Stroke ◽  
Intracerebral Haemorrhage ◽  
Stroke Unit ◽  
Acute Stroke Unit
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